Stacy Sampson, DO - Family Medicine in Phoenix, AZ

Stacy Sampson, DO is a Family Medicine physician based in Phoenix, Arizona. Stacy Sampson is licensed to practice in Missouri (license number 2010003260) and her current practice location is 20414 N 27th Ave Ste 500, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at (612) 476-6665.

NPI number for Stacy Sampson is 1053519264 and her current mailing address is 149 Se Citadel Ct, Lees Summit, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053519264.

Contact Information

Stacy Sampson, DO
20414 N 27th Ave Ste 500,
Phoenix, AZ 85027-3252
(612) 476-6665
Not Available



Physician's Profile

Full NameStacy Sampson
GenderFemale
SpecialityFamily Medicine
Location20414 N 27th Ave Ste 500, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053519264
  • Provider Enumeration Date: 07/10/2007
  • Last Update Date: 01/11/2023

Medical Identifiers

Medical identifiers for Stacy Sampson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053519264NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2010003260 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Sampson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacy Sampson, DO
149 Se Citadel Ct,
Lees Summit, MO 64063-3652

Ph: () -
Stacy Sampson, DO
20414 N 27th Ave Ste 500,
Phoenix, AZ 85027-3252

Ph: (612) 476-6665

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